Freeburg Care Center Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

FREEBURG CARE CENTER INC

Practice address

746 Urbanna Dr
Freeburg, IL 62243-1904

Phone

(618) 539-5856

Fax

(618) 539-3412

NPI assigned

Mar 15, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Roger W Bagley

Title

Controller

Phone

(618) 549-8331

Specialties & licenses 1

Addresses

Tax ID family

Freeburg Care Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Freeburg Care Center Inc

  • Skilled Nursing Facility
  • Freeburg, IL
  • NPI 1528067865
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1982738837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "746 URBANNA DR",
            "city": "FREEBURG",
            "state": "IL",
            "postal_code": "622431904",
            "telephone_number": "618-539-5856",
            "fax_number": "618-539-3412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "746 URBANNA DR",
            "city": "FREEBURG",
            "state": "IL",
            "postal_code": "622431904",
            "telephone_number": "618-539-5856",
            "fax_number": "618-539-3412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREEBURG CARE CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BAGLEY",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "618-549-8331",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raymond Danford, RPH
• Tracey Lynn Drennen-Alexander, D.C.
• Anthony Duvergel
• Gayla Renea Fields, M.S., LCPC
• Freeburg Care Center Inc
• Freeburg Community Consolidated School Dist. No. 70
• Freeburg Community High School
• Freeburg Nursing and Rehab LLC (La Bella of Freeburg)
• Freeburg Vision Center, Inc.
• Samantha Glasco, D.C.

• Durable Medical Equipment & Medical Supplies in Freeburg, IL
• Providers in Freeburg, IL by specialty
• Durable Medical Equipment & Medical Supplies in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.